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E/M: 2019 Proposed Physician Fee Schedule – Next Steps

  Proposed changes in the Medicare Physician Fee Schedule (MPFS) for 2019 will change proposed reimbursement single evaluation and management (E/M) rates. Here’s a way for medical coders to see how much the new routes may affect your workplace’s reimbursement. This exercise will also help you determine what to share with CMS during the comment […]
AAPC Knowledge Center

Seven-certified medical coder and researcher searching for my next position

June 14, 2018

Alex Gorsky
Chairman, Board of Directors
Johnson & Johnson Corporation
One Johnson & Johnson Plaza
New Brunswick, NJ 08933

Dear Dr. Gorsky:

As a professional with nearly ten years’ experience in clinical research, I am writing to express my interest in obtaining a position at Johnson & Johnson starting June 2018. My background covers academic, teaching, clinical, and research experience.

I am a graduate of U.S. Career Institute’s medical coding specialist certificate program in 2013 and have training in ICD-10-CM Basics from U.S. Career Institute. I have completed a 4Med CICP certification program in ICD-10-CM from 4Med Plus. I have seven medical coding certifications in the medical coding field, including a CPC, CANPC in anesthesia and pain management coding, CCVTC in cardiovascular and thoracic surgery coding, CEDC in emergency department, and am ICD-10-CM and ICD-10-PCS proficient, and have a CCS-P Badge from AHIMA. I am a CANPC/CCVTC coding lecturer for American Academy of Professional Coders, Southwest University, and TXHIMA. In addition, I was an HIM Coder for Mesa Hills Specialty Hospital based in El Paso, TX who has given me an excellent reference and recommendation letter. In addition, I have medical training in medicine, anesthesiology, and cardiovascular and thoracic surgery which can be a good complement in a medical training and medical research program.

I am a graduate of NAPSRX’s Pharmacology and Pharmaceutical Sales Training Program, passing a standardized national exam and becoming a Certified National Pharmaceutical Representative (CNPR). Covered topics include clinical pharmacology, drug distribution, package insert information, drug patents, preclinical studies, clinical trials, biopharmaceutical drug development, therapeutic agents, pharmaceutical terminology, pharmaceutical marketing, ethical and regulatory guidelines, pharmaceutical sales techniques, making the most of your sales calls, and pharmaceutical terminology.

I have an M.D. and Ph.D. with basic and clinical science research experience in variety of fields including human studies, clinical animal models in ultraviolet radiation-induced cataract, and teaching in ophthalmology. Specifically, I have worked in human study coordination, blood processing for chemical analysis, animal models of the guinea pig, chemicals preparation, ultrafiltration, high performance liquid chromatography with ultraviolet radiation detection. I have knowledge of genetics, ophthalmology, applied optics, lens, corneal, retinal anatomy and physiology, and oculoplastics. Additionally, I have taught optometry, lens anatomy and physiology courses at Karolinska Institutet to graduate students for five years. I hold the certification Licentiate degree.

My M.D. was earned from Emory University followed by one year medical training at Yale University and Brown University. After that I decided to pursue research as that better served my aptitude and interest. I completed Ph.D. for clinical science in ophthalmology from Karolinska Institutet in Stockholm, Sweden. My research publications include 56 papers and 100 abstracts. My project ascorbate prevention of the ultraviolet radiation-induced cataract in an in vivo animal model will contribute to the future of the pharmaceutical industry and lead to the development of new ocular medications and high-tech innovations. During the project, I developed a pioneering method for Ascorbate measurement in lens tissue samples, utilizing homogenization in metaphosphoric acid, ultrafiltration, and high performance liquid chromatography with ultraviolet detection. The method can be applicable to Ascorbate measurement in other tissues, including lens, retina, cornea, and vitreous humor. I plan to obtain the grant for Pharmacodynamics of ascorbate in the ocular lens as part of a human clinical trial. It can in addition be applied to other tissues, possibly cardiac, skeletal muscle, blood, lungs, and kidney. The work that I performed at Karolinska Institutet was pre-clinical research in a guinea pig cataract in vivo model. You will find my academic and research experience potentially a valuable asset to Johnson & Johnson.

At Brown University/Lifespan in Department of surgery I studied arginase activity in mouse peritoneal macrophages in a surgical model of wound healing. The work is related to the surgical field. It counts as basic science research experience.

I have significant research experience from my earlier training at Vanderbilt University and Emory University School of Medicine. Basic science research required for the beginning of pre-clinical research was studied. At Vanderbilt University, I spent one year doing an honors Molecular biology research project on the mitochondrial megachannel, a protein in heart muscle cells which plays a significant role in reperfusion injury. I found after experimenting with cyclosporin A binding to the mitochondrial megachannel and by utilizing cellulose filtration that the mitochondrial megachannel is made up of more than one subunit. The mitochondrial megachannel’s activity was determined and reproduced after separating the subunits and reconstituting the subunits. The significance of the results was that the mitochondria play a critical role in cardiac reperfusion injury. I earned High honors in molecular biology for the one-year honors project. At Emory University School of Medicine I studied ligand binding properties of the interphotoreceptor retinoid binding protein (IRBP), finding that IRBP binds retinol analogues with high affinity, playing a role in the visual cycle. In the Departments of ophthalmology and biochemistry at Emory University School of Medicine, in a clinical study on 120 human volunteers in the general population as part of controls for the AREDS study, I found that Plasma cystine increases with age in humans in a published ARVO abstract (1997). The significance of the results was that REDOX balance shifts towards oxidation with age. Antioxidants including cysteine, homocysteine, and glutathione become oxidized with age due to age-related oxidative stress in a number of conditions such as age-related macular degeneration, cataracts, and cardiovascular disease. The clinical study served as part of controls for AREDS study. I feel that I will be of high value to Johnson & Johnson.

References are available upon request.

Sincerely,

Vino C. Mody Jr., M.D., Licentiate degree, Ph.D., COC, CPC, CCS-P, CANPC, CCVTC, CEDC, 4Med CICP, CMAA, CBCS, CNPR, CRMC, AHIMA Coding Professional
6154 Black Mallard Place
El Paso, TX 79932
678-427-6511 cell; 915-642-4269 home; 281-899-0543 skype; 915-779-7912 eFAX
[email protected]; [email protected]; [email protected]; [email protected]

VINO C. MODY JR., M.D., Licentiate degree, Ph.D., COC®, CPC®, CCS-P, CANPC™, CCVTC™, CEDCTM, 4Med CICP, CBCS, CMAA, CNPR, CRMC, Licentiate degree, AHIMA Coding Professional
__________________________________________________ ________________________________________
6154 Black Mallard Place, El Paso, TX 79932
3353 Dunbar Lane, Suwanee, GA 30024
Karolinska Institutet, 171 77 Stockholm, Sweden
[email protected]; [email protected];
[email protected]; [email protected]
678.427.6511, 915.642.4269, 281.899.0543, 915.779.9912 eFax, 915.532.1655 FAX

GOAL: MEDICAL CODING AND ADMINISTRATION

Certified professional coder (CPC), Certified outpatient coder (COC), Certified coding specialist-physician based (CCS-P), Certified anesthesia and pain management coder (CANPC), Certified cardiovascular and thoracic surgery coder (CCVTC), Certified emergency department coder (CEDC), Certificate of ICD-10-CM Proficiency (4 Med CICP) certified, Certified national pharmaceutical representative (CNPR), Certified billing and coding specialist (CBCS), Certified medical administrative assistant (CMAA), Certified risk management consultant (CRMC), Licentiate degree-certified (Licentiate degree), Doctor of Medicine (M.D. degree), Doctor of Philosophy (Ph.D. degree), AHIMA Coding Professional. Strengths include:

• Medical coding ability utilizing ICD-10-CM, ICD-10-PCS, CPT, and HCPCS II
• ICD-10-CM proficient
• ICD-10-PCS proficient
• ICD-10-CM specialized in cardiology
• Knowledge of anatomy, physiology, and disease processes
• Familiarity with medical coding software Cerner, Dolby, Sunport, Epic-like Powerchart, and HCS
• Adept use of Word, Excel, and Internet
• Professional conduct (HIPAA, Joint Commission standards, THCIC)
• Medical records management
• Quality data set analysis medical research
• Coding automation toolkit (CAT) software demonstrations
• Medical transcription
• Training in medical clerk
• Registered health information administrator (RHIA) training
• Teamwork and excellent self-management
• Leadership training
• Mastery of correct grammar, spelling, and punctuation
• Medical research experience
• Homogenization
• Ultracentrifugation
• Ultrafiltration
• High performance liquid chromatography with ultraviolet detection
• Utilization of ultraviolet radiation exposure equipment
• Guinea pig handling
• Anesthesiology on guinea pigs
• Euthanasia of guinea pigs
• Experience in delivering patient care
• Training and knowledge of all areas of medicine, surgery, plastic surgery, anesthesiology, and psychiatry
• Training in ophthalmology

EDUCATION AND PROFESSIONAL ORGANIZATIONS

Passed exam (score=91.4%), 2018 CANPC study guide, AAPC, Salt Lake City, UT, June 2018
Hand surgery, American Academy of Professional Coders, Salt Lake City, UT, June 2018
Certificate, Chronic wound care coding, billing, and documentation by Linda Martien, COC, CPC, CPMA, Fellow, American Academy of Professional Coders, Salt Lake City, UT, June 2018
CRM: Cancer Disease, Coding, and Staging module for 15.00 CEUs, Salt Lake City, UT, June 2018-
Certified emergency department coder (CEDC), American Academy of Professional Coders, Salt Lake City, UT, 6/2018
Passed CEDC exam, AAPC, Salt Lake City, UT, 6/2018
Passed CCS-P Simulation Exam 2 (Score=71%), 2018 CCS-P study guide, AHIMA, Chicago, IL, 6/2018
Virtual CCS-P exam Prep, Thorough 10.00 CEUs virtual CCS-P exam preparation including 7 webinars in ICD-10-CM and procedural coding, medical coding, medical conditions, and guidelines, AHIMA, Chicago, IL, 05/2018
Completing Certified coding specialist-physician-based (CCS-P) exam preparation study guide, graded with answers, AHIMA, Chicago, IL, 05/2018
Certificate of completion, Professional Coding Practice course (final score=91.42%) for 60 CEUs, AHIMA, Chicago, IL, 4/2018
Passed 2018 Certified coding specialist-physician based (CCS-P) self-review, AHIMA, Chicago, IL, 4/2018
Certificate of completion earning 45.00 CEUs in the ICD-10-CM coding field, Basic ICD Coding Part 1 course (final score=92%), AHIMA, Chicago, IL, 4/2018
Certificate of completion, HIPAA Privacy and Security training course, Insight Global, 3/2018
Certificate, Coding with Heart: CPT for Cardiology (Passed final exam, score=90%), Healthcare Business Office, 3/2018
Passed 2018 Study Guide for CEDC Emergency Department 35-question medical coding certification exam (score 74.2%), American Academy of Professional Coders, Salt Lake City, UT, 2/2018
Certificate of Approval, ICD-10-CM Coding Workbook for Cardiology, passed 203: Cardiology ICD-10-CM certification exam 1 (2017) (Score 100%, 300 points), Optum 360, Salt Lake City, UT, USA, 2/2018
Certificate of Approval, ICD-10-CM Coding Workbook for Cardiology, passed 204: Cardiology ICD-10-CM certification exam 2 (2017) (Score 96.6%, 290 points), Optum 360, Salt Lake City, UT, USA, 2/2018
Facial Rejuvenation, Smart Beauty Guide, USA, 2/2018
Currently completing full medical coding on 55 cases in ICD-10-CM, CPT, HCPCS II, and anesthesia and pain management coding from ICD-10-CM Coding Workbook in Cardiology 2017, Optum, Salt Lake City, USA, 2/2018
Medical coding clinic In ICD-10-CM, CPT, and HCPCS II, AMA CPT codebook Appendix C, 600 cases per year, 2016-2018
CCS-P Badge, AHIMA, Chicago, IL, 1/2018
Certificate, ICD-10-CM hematology and oncology specialty code set training (passed 37 cases certification exam, score 86%), American Academy of Professional Coders (AAPC), Salt Lake City, UT, 12/2017
Calculus with Analytic Geometry by George F. Simmons, McGraw-Hill Book Company, New York, NY, 1985
Passed 2017 Study Guide for CEDC Emergency Department 35-question certification exam (score 80%), American Academy of Professional Coders, Salt Lake City, UT, 12/2017
Took online 2017 CEDC specialty practice exam, American Academy of Professional Coders, Salt Lake City, UT, 12/2017
Passed online 2017 CANPC specialty practice exam (score 88%), American Academy of Professional Coders, Salt Lake City, UT, 11/2017
Passed exam (230 questions), Official 2016 CPC Certification Study Guide, American Academy of Professional Coders, Salt Lake City, UT, 10/2016
Passed exam (85 questions) (score approximately 80%), 2016 CANPC study guide and CANPC specialty practice exam, AAPC, Salt Lake City, UT, 2016
Passed multiple medications quiz (score 100%), produced by the Cleveland Clinic Center for Consumer Health Information, Copyright 1995-2009, The Cleveland Clinic Foundation, 11/2017
Passed Nursing 823 Medication Dosage Practice Exam (score 89%), Nursing 863 Professional Nursing II, University of Kentucky, Lexington, KY, 11/2017
Certificate of Approval, ICD-10-CM Coding Workbook for General Surgery, passed 207: General Surgery ICD-10-CM certification exam 1 (score 86.7%, 260 points), Optum 360, USA, 10/2017
Certificate of Approval, ICD-10-CM Coding Workbook for General Surgery, passed 208: General Surgery ICD-10-CM certification exam 2 (score 100%, 300 points), Optum 360, USA, 10/2017
Certificate of ICD-10-CM Coding Proficiency (CICP) certification, ICD-10-CM Coding Professional, 4Med Plus, Chicago, IL, and Libman Education, Bedford, MA, 10/2017
Passed final exam (score 86%), CICP, 4Med+, Chicago, IL, 10/2017
Certificate, Q1638701-Documenting Pharmacogenomic Testing with CPT Codes, American Health Information Management Association, Chicago, IL, 3/2017
AHA Coding Clinic, subscription, American Hospital Association, Chicago, IL, 7/2016-1/2017
Certified Cardiovascular and Thoracic Surgery Coder (CCVTC), American Academy of Professional Coders (AAPC), Salt Lake City, UT, March 2017
Passed CCVTC exam, American Academy of Professional Coders, Salt Lake City, UT, March 2017
Passed Medical Records Coding [ICD-10] assessment (96%), IBM Kenexa Prove-It, Judge Group, Wayne, PA, 2/2017 Passed Microsoft Excel 2010-Normal User assessment (90%), IBM Kenexa Prove-It, Judge Group, Wayne, PA, 2/2017
AHIMA Health Information Role Self-Assessment Coding Professional assessment credential from American Health Information Management Association, Chicago, IL, 11/2016
CANPC Certification Study Guide 2016, American Academy of Professional Coders, Salt Lake City, UT, 11/2016
CPC Certification Study Guide 2016, American Academy of Professional Coders, Salt Lake City, UT, 11/2016
Advanced ICD-10-CM training, Instructional manual, AAPC, Salt Lake City, UT, November 2016
ASHRM revised CPHRM exam preparation guide, American Hospital Association, Olathe, KS, 6/2016
Produced, Major Healthcare Processes PowerPoint slide, Health Administration, Emory Healthcare, Atlanta, GA, 6/2016
Produced, Six sigma block chart slide, Cisco Systems, Atlanta, GA, 11/2015
Certificate, ICD-10-CM specialty cardiology code set training, American Academy of Professional Coders, Salt Lake City, UT, 9/2016
Certificate, Practicode Professional Fee (ICD-9), American Academy of Professional Coders, Salt Lake City, UT, 10/2016
Passed ICD-10-CM and ICD-10-PCS proficiency assessment (100 questions), American Health Information Management Association (AHIMA), Chicago, IL, 7/2016
Certificate of Cardiology coding and Certificate of General Surgery and Anesthesia coding, Greenville Tech, 2/2016
MOOC certificate of attendance Health Data Analytics with MS Excel, St. Scholastica, MN, December, 2015
Certificate of Achievement, Coding-Baseline-ICD-10 Inpatient Diagnostic, Precyse University, USA December 4, 2015
Certified Anesthesia and Pain Management Coder (CANPC), American Academy of Professional Coders, August, 2015
Certified Outpatient Coder (COC), AAPC, June, 2015
Passed CANPC exam, AAPC, August, 2015
Passed COC exam, AAPC, June, 2015
Certified Professional Coder (CPC), AAPC, March, 2015
Passed CPC Exam, AAPC, October, 2013
Certified Coding Specialist-physician based (CCS-P) and passed exam, AHIMA, May, 2015
Certificate of ICD-10-CM proficiency, American Academy of Professional Coders (AAPC), January, 2014
Certificate of ICD-10-PCS proficiency, AAPC, January, 2015
Certificate of CPMA Medical Auditing, AAPC, December, 2015
Certificate of CPPM Practice Management, AAPC, January, 2016
Certified Medical Administrative Assistant (CMAA), National Health Career Associates (NHA), November, 2014
Certified Billing and Coding Specialist (CBCS), NHA, November, 2014
ICD-10-PCS Code set training (16 hours), American Academy of Professional Coders, Salt Lake City, UT, 1/2015
ICD-10-CM General code set training (16 hours), American Academy of Professional Coders, Salt Lake City, UT, 1/2014
Triple Certificate in administrative medical specialist, medical coding and billing, +medical terminology (360 Hours), University of Georgia, Athens, GA, 3/2015
Graduate, Course, Certificate of ICD-10-CM Coding Proficiency (CICP), 4Med Plus, Chicago, IL, 10/2017
Training, ICD-10-CM Coding Basics, U.S. Career Institute, Fort Collins, CO, 9/2017
Certificate, graduate, Medical Coding Specialist Course (87% B average) (600 Hours), U.S. Career Institute, Fort Collins, CO, 2012-2013
State of Texas For profit legal service contract salesperson license, number 109231, active, Texas, USA, 5/2014-present
Certified National Pharmaceutical Representative (CNPR), National Association of Pharmaceutical Sales Representatives (NAPSRx), Washington, D.C., March 2014
Passed CNPR exam, NAPSRx, March 2014
Graduate of NAPSRX’s Pharmacology/Pharmaceutical Sales Training Program, CNPR Number 608042014, Member of NAPSRx, National Association of Pharmaceutical Sales Representatives (NAPSRX), Washington, D.C., 3/2014
For profit legal service contract salesperson license, number 109231, Texas Department of Licensing and Regulation, Austin, TX, 5/2014
Certified risk management consultant (CRMC), Harvard Risk Management Corporation (HRMC), Dallas, TX, 5/2014
Legalshield certified, Harvard Risk Management Corporation, Dallas, TX, 5/2014.
One Call Health Access certified, Harvard Risk Management Corporation, Dallas, TX, 5/2014
Six sigma black belt certified, Expert Rating, USA, 3/2014
Six sigma green belt certified, Expert Rating, USA, 10/2013
Made artwork and model planes, El Paso, TX, 2010-2013
Volunteer, Fight For Sight, USA, 2011-2012
Doctoral (Ph.D.) degree, Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden, June, 2008
Licentiate (comparable to M.S.) degree, Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden, October, 2006
Participated in ship riding, riding in over 50 ships, Sweden, 2005-2008
M.D. Degree, Emory University School of Medicine, Atlanta, GA, 1997
In-patient hospital rounds including ICU and CCU at Emory University School of Medicine, Atlanta, GA, 1995-1997
Won Solvay Pharmaceutical research grant, Emory University School of Medicine, Atlanta, GA, 1994
Tennis team USTA captain and ALTA co-captain, Atlanta, GA 1994-1997
B.S. in Molecular Biology, summa cum laude, high honors in molecular biology, Vanderbilt University, Nashville, TN, 1993
Won Vanderbilt University School of Medicine early admissions, Vanderbilt University School of Medicine, Nashville, TN, 1992
Emergency Room volunteer, Vanderbilt Medical Center, Nashville, TN, 1991-1992
Won Schering-Plough research grant, Vanderbilt University, Nashville, TN, 1991
Student senator, Vanderbilt University, Nashville, TN, 1991-1992
High school diploma, valedictorian, Parkview High School, Lilburn, GA, 1989
Attended high school, Norcross High School, Norcross, GA, 1985
Served as executive Vice President of 400 Hitter baseball card collecting corporation, Lilburn, GA, 1985-1992
Tennis team, Parkview High School, Lilburn, GA, 1986-1989
Member of state-wide school orchestra resulting in publication of LP from South Georgia concert under the direction of Dr. Huthmaker
Member of school orchestra under the direction of Dr. Bernal, Parkview High School, Lilburn, GA, 1986-1988
Made and shot bottle rockets, Wichita, KS, 1982-1985
Member of Cub Scouts and Webelos, Wichita, KS, 1979-1982

PROFESSIONAL EXPERIENCE

Medical coding trainee, COC-A ICD-10 Practicum, American Academy of Professional Coders, Salt Lake City, UT, 06/2018-present

• Performing outpatient coding in ICD-10-CM, CPT, and HCPCS II on 600 actual medical records for one-year equivalent work experience. Abstracting medical records and extracting from operative reports.

HIM Coder, Mesa Hills Specialty Hospital, El Paso, TX, USA 5/2017 to 1/2018

• Performed inpatient medical coding for a service for a 32-bed inpatient hospital. The hospital specializes on pulmonary disorders and plastic surgery, utilizing ICD-10-CM, ICD-10-PCS, CPT, and HCPCS II. Performing DRGs, quality data set analysis medical research, medical transcription, coding automation toolkit (CAT) software demonstrations, case management, insurance dispute resolution, checking patient charts, and anesthesia and pain management coding and cardiovascular and thoracic surgery coding. Entering medical coding data from medical charts into medical coding and billing software to produce inpatient UB04 claims. Prepared letter and defense for Amerigroup Real Solutions. Medically coding all surgical procedures performed on each patient. Obtaining medical, surgical, plastic surgery, pulmonology, cardiology, psychiatry, and anesthesiology experience.

Sports official volunteer, YMCA, El Paso, TX, USA, 5/2017 to present

• Volunteering as sports official. Playing sports outdoors including walking on track and playing tennis at Coronado Thunderbird High School track and Franklin High School in El Paso, TX.

CANPC/CCVTC coding lecturer, American Academy of Professional Coders, Salt Lake City, UT 9/2015 to present

• Delivered lectures in CANPC coding for an AAPC Local Chapter Event El Paso, TX audience. Presented a one-page summary of CANPC anesthesia and pain management coding and a 15-cases exam. Delivered a lecture on CCVTC cardiovascular and thoracic surgery coding and presented a one-page summary of coronary artery bypass graft coding and relative value CPT coding order. Delivered a lecture on cardiology coding. Publishing a book entitled CANPC Anesthesiology Coding Essentials for Accurate Efficient Practice: The study guide for preparation for CANPCTM exam through White Falcon Publishing. The study guide for preparation for CANPCTM exam. Developed corporate websites for Healthcare Administrative Consulting Research Service: www.medpracticeprocess.com; http://sites.99mall.in/sites/vinumod…ications.html; http://sites.99mall.in/sites/modynew/; AAPC Forum thread user name vinomodyjr

CANPC/Cardiology/CPC coding lecturer, Southwest University, El Paso, TX 6/2016 to 4/2017; 1/2018-present

• Delivered multiple lectures in anesthesia and pain management coding to an audience of medical coding students. Delivered a lecture in cardiology coding. Presented a CPC review for a class. Preparing a CPC coding book with Yasenia Ceniceros, CPC.

CANPC Anesthesia and Pain Management Coding Roundtable Webinar Presenter, TXHIMA, Austin, TX 5/2017

• Delivered a recorded 45-minute lecture on CANPC anesthesia and pain management coding for an international audience. Covered a novel method for anesthesia coding and cases. The webinar is published online.

Grant proposal contributor and contributor, Horizon 2020, European Commission, Europe 9/2016-present

• Submitted a grant proposal, surveys, and published papers. Submitted grant proposal for ASCORBATE PREVENTION OF THE UVR-B CATARACT IN THE IN VIVO PIGMENTED GUINEA PIG MODEL; COS-APP-2016-2-05; COSME-GA; Proposal nr. SEP-210366150; Proposal acronym: IN VIVO ASORBATE LEN. Made published paper contributions to Public Consultation on the Development on an Innovation strategy for the Energy Union

Remote Medical Coder and auditor, Altegra Health, Miami Lakes, FL, USA 1/2016 to 4/2017

• Performed medical coding and auditing. Worked on medical records for clinics, doctors offices and hospitals including allergy, immunology, internal medicine, cardiology, dermatology, ophthalmology, pulmonology, pediatrics, OB/GYN, general surgery, orthopedic surgery, emergency medicine, radiology, anesthesia and pain management. Completed coder refresh and compliance training. Was in training for Altegra Health through being in Step 2 of the hiring process for NP Health Resources.

Remote medical coder, HGS USA, LLC, Peoria, IL 9/2015 to 2/2016

• Performed medical coding at 50 hospitals in USA. Coded electronic health records for inpatient and outpatient. Assignments from Hinsdale clinic services; Florida Waterman; Florida Hospital; and Tampa Hospital. Abstracted medical coding. Managed medical records. Utilized software Cerner, Dolbey, 3M Encoder Systems, Powerchart, and Sunport.

CoRPs volunteer, Vanderbilt University, Nashville, TN, 6/2016 to present

• Interviewed prospective and current students. Volunteered for Vanderbilt University recruiting.

Medical coding trainee, CPC-A ICD-10 Practicum, American Academy of Professional Coders, Salt Lake City, UT 11/2015-7/2016

• Performed medical coding utilizing ICD-10-CM codes for diagnosis. Performed medical coding on 600 medical records with ICD-10-CM, CPT, and HCPCS for one-year equivalent work experience. Abstracted codes from E/M encounters, hospitals, office visits, operating room, radiology reports, and pathology reports.

Medical coding trainee, COC-A Practicum, American Academy of Professional Coders, 05/2015-11/2015
• Performed outpatient coding in ICD-9-CM, CPT, and HCPCS II on 200 actual medical records for four months equivalent work experience. Abstracted medical records and extracted from operative reports.

Medical coding trainee, CPC-A Practicum, American Academy of Professional Coders, Salt Lake City, UT 6/2014-11/2014

• Performed medical coding utilizing ICD-9-CM codes for diagnosis. Performed medical coding on 600 medical records with ICD-9-CM, CPT, and HCPCS for one-year equivalent work experience. Abstracted codes from E/M encounters, hospitals, office visits, operating room, radiology reports, and pathology reports. Passed the assessment and earned a CPC-A Practicum with CEUs badge.

Sales profile questionnaire trainee, CTS Sales Profile, USA, 11/2014

• Completed sales profile questionnaire. Your Primary Sales Style: Performer.
General Description: Your high Ego Drive and high Empathy result in a free flowing, persuasive sales or sales leadership style which influences others to take action or change their behavior. Your Performer personality likes to generate creative solutions to sales production problems, though some of these ideas may not be realistically grounded or piloted for effectiveness. Your greatest strengths are your persuasive ability and verbal intelligence, while your greatest improvement opportunity is your need to slow down for buyers, keep the selling process simple, and explain yourself for process-oriented buyers. Performers can be found in positions that provide variety, creative freedom, and social competition while avoiding nonsocial activities such as preparation, organization, and attention to detail. Examples of professions common to Performers include sales, sales management, advertising, motivational speaker, public relations, and communications consultant.
Your Secondary Sales Style: Diplomat

Salesperson, agent 261491, Harvard Risk Management Corporation (HRMC), Dallas, TX, 5/2014 to present

• Passed corporation exams (CRMC). Legalshield certified. One Call Health Access certified. Prepared and distributed webinar flyers. Training in ID Shield. B2B training. Supervisor Regional Director Jennifer Knowlton.

Customer service representative, Farooq Jivani Agency, Norcross, GA, 1/2014 to present

• Handled customer service and policy payment.

Freelance Research Scientist, Georgia State University, Atlanta, Georgia 10/2011 to 10/2014

• Performed research on project on Phytochemicals and Cancer Prevention. Performed a literature review on the book Nutritional Oncology by Heber D and Blackburn G (2006). Prepared a clinically-oriented article manuscript, abstract, and table on Benefit of Phytochemicals on Cancer.

Medical Researcher, Karolinska Institutet, Stockholm, Sweden 10/2/2000 to 6/5/2008

• Performed medical research as a scientist on an in vivo guinea pig cataract animal model involving ultraviolet radiation-B under the direction of Dr. Per G. Soderberg. Worked under the supervision of Dr. Stefan Lofgren and worked with Dr. Manoj Kakar on projects. Developed a novel method for lens ascorbate concentration determination involving homogenization in metaphosphoric acid, ultrafiltration, and high performance liquid chromatography (HPLC) with ultraviolet detection. Collaborated with Departments of Physiology and Pharmacology at Karolinska Institutet with Dr. Urban Ungerstedt and Ms. Ase Elfving. Utilized ultracentrifugation. Handled guinea pigs and performed anesthesiology and euthanasia on guinea pigs. Applied the method to determine dependence of lens ascorbate concentration on dietary intake in the rat, dependence of lens ascorbate concentration on drinking water supplementation in the guinea pig, maximum tolerable code and ascorbate consumption in ultraviolet radiation-B-induced cataract in the rat, the protective effect of drinking water supplementation with ascorbate against ultraviolet radiation-B-induced cataract in the pigmented guinea pig, and high lenticular tolerance to ultraviolet radiation-B by pigmented guinea-pig: application of a safety limit strategy for UVR-induced cataract. Taught optometry courses, clinical and basic science and a statistics course with Dr. Bo Lindstrom. Presented locally at St. Eriks Utbildningsbidrag and Svenska Lakaresallskapet conferences and internationally at ARVO, ISER, and EVER conferences.
Published paper: High lenticular tolerance to ultraviolet radiation-B by pigmented guinea-pig; application of a safety limit strategy for UVR-induced cataract. Acta Ophthalmologica, 2011.
Prepared theses:
Ultraviolet radiation cataract and ascorbate supplementation, Doctoral thesis and successful dissertation defense, Karolinska Institutet, Stockholm, Sweden, 06/05/2008.
Ascorbate in the ocular lens, Licentiate thesis and successfully presented seminar, Karolinska Institutet, Stockholm, Sweden, 10/18/2006.
Worked on the pigmented rat model for avoidance of ultraviolet radiation-B-induced cataract with Dr. Manoj Kakar.

Proctor, National Board of Examiners in Optometry (NBEO), Stockholm, Sweden 3/2003 to 5/2005

• Proctored NBEO exam at a European site for three years. Booked room for exam, prepared papers, oversaw test-taking, collected papers, sealed exam booklets, and mailed exams to NBEO.

Surgical research student, Brown University, Department of Surgery, Providence, RI 9/1997 to 5/1998

• Conducted surgical research on wound healing utilizing mouse peritoneal macrophages under the direction of Dr. Jorge Albina. Refined laboratory techniques in biochemistry and molecular biology including cell culture, Northern blot analysis, Western blot analysis, and arginase activity. Published a paper with Dr. C. Louis on Regulation of Arginase Isoforms I and II by IL-4 in Cultured Murine Peritoneal Macrophages in American Journal of Physiology (1999).

Preliminary internal medicine intern and medical trainee, Brown University/Lifespan, Providence, RI 6/1998 to 12/1999

• Performed inpatient hospital rounds at Rhode Island Hospital, Miriam Hospital, and Providence VA Medical Center. Worked in I.C.U., C.C.U. Attended grand rounds. Interacted with medicine and cardiology attendings. Interacted with nurses and support staff. Wrote orders, analyzed reports, wrote medical reports, dictated discharge summaries. Read laboratory data, radiology reports, and electrocardiograms. Determined medical diagnoses. Performed procedures, including phlebotomy, arterial blood gas punctures, paracentesis, nasogastric tube insertion, attempted thoracentesis, attempted lumbar punctures, and attempted central venous catheter placements. On COBRA.

Preliminary internal medicine intern, Yale-New Haven Hospital (Waterbury, CT), New Haven, CT 6/1997-7/1997

• Performed inpatient hospital rounds at Yale-New Haven Hospital and West Haven VA Medical Center. Worked in I.C.U. and VA medical clinic. Attended morning report and grand rounds. Interacted with medicine and cardiology attendings. Interacted with nurses and support staff. On leave of absence.

Research Investigator, Emory University School of Medicine, Departments of Biochemistry and Ophthalmology, Atlanta, GA 6/1996-8/1996; 4/1997

• Investigated as principal investigator on the human clinical antioxidants in the general population as part of controls for AREDS and ARMD studies for Drs. Dean P. Jones and Paul Sternberg Jr. The results of the study show that antioxidants glutathione, cysteine, and homocysteine become oxidized with age, as published in an ARVO abstract (1997). I utilized the chemistry procedures deproteination with perchloric acid and treatment with iodoacetic acid and dansyl chloride and high-performance liquid chromatography (HPLC). I showed diligence, am an experienced professional, have a proven track record of success, and strong research, analytical, interpersonal, and communication skills. The project earned paper publication and grants.

Medical researcher, Emory University School of Medicine, Department of Ophthalmology, Atlanta, GA 6/1994-8/1994

• Studied ligand-binding properties of the human recombinant interphotoreceptor retinoid binding protein (rhIRBP) under the direction of Dr. John Nickerson. Measured the affinity of all-trans retinal, cis-retinol, and all-trans retinol to rhIRBP utilizing spectrofluorometry.

Medical researcher, Vanderbilt University, Nashville, TN 8/1992-5/1993

• Studied biochemical properties of the mitochondrial megachannel in a one-year honors molecular biology project under the direction of Dr. Sidney Fleischer. Studied affinity to cyclosporine A utilizing column chromatography binding assays of bovine heart mitochondria. Found that the mitochondrial megachannel is made up of more than one subunit based on reconstitution of activity utilizing cellulose filtration.

Human molecular genetics medical researcher, Vanderbilt University School of Medicine, Nashville, TN, 8/1991-5/1992

• Performed karyotype analysis. Cut out paper karyotypes for research on genetic inborn conditions.

REFERENCES

Available upon request

Medical Billing and Coding Forum

COC, CPC, CCS-P, CANPC, CCVTC immediately searching for next medical coding position

VINOD C MODY JR.
6154 BLACK MALLARD PL
EL PASO, TX 79932
(678) 427-6511
(915) 642-4269
(915) 307-5405 (Fax)
[email protected]
Career Objectives
To obtain a position in medical coding, medical research, and medical training
Summary of Qualifications
I am a medical coder with 4 years of medical coding experience and specialization in anesthesia and pain
management coding and cardiovascular and thoracic surgery coding. I am a twenty-years’ experienced medical researcher with medical training.
Work History
Texas Health Resources, Texas
TalentMine assessment questionnaire trainee Apr 15, 2018
Completed TalentMine assessment questionnaire. I have ambitious motivation, am an adaptable team player, responsible executive.
Self-employed; Suwanee Press, SUWANEE, Georgia
CANPC coding published book author Feb 01, 2018
Published a CANPC coding book as an adjunct to AAPC’s CANPC study guide
ISBN nr. 9781947333024
ISBN10 194733302X
The book will be available from Google Books.
2019 CANPC study guide supplement planned.
YMCA, Texas
Sports official volunteer May 05, 2017
Volunteering by playing tennis, walking on track, and working out in the health club.
Horizon 2020, Texas
Medical research trainee Sep 15, 2016
Completed surveys and published two papers on Framework innovation technology.
Vanderbilt University, Tennessee
CoRPs volunteer Jun 15, 2016
Duties include interviewing Vanderbilt University undergraduate students.
American Academy of Professional Coders, Salt Lake City, Utah
CANPC/CCVTC coding lecturer Sep 15, 2015
Prepared and presented multiple lectures in cardiology coding, CANPC anesthesia and pain management coding,
CCVTC cardiovascular thoracic surgery coding to an AAPC local chapter audience.
Southwest University, El Paso, Texas
CANPC/Cardiology/CPC coding lecturer Jun 26, 2015
Prepared and delivered multiple lectures in CPC coding, cardiology coding, and CANPC coding to a student audience. Preparing CPC coding study guide book with Yasenia Ceniceros, CPC.
India Temple, New Mexico
Volunteer Jun 01, 2014
Lit candles, played devotional music, arranged prayer functions.
Harvard Risk Management Corporation, Dallas, Texas
Contract Salesperson May 15, 2014
Training, preparing sales flyers, preparing webinars, distributing webinar flyers, selling products
Farooq Jivani Agency, Norcross, Georgia
Customer service representative Jan 03, 2014
Handled customer service and policy payment.
United Health Group, Minnetonka, Minnesota
Remote medical coder Apr 09, 2018 – Apr 10, 2018
Medical coding training.
Optum, Eden Prarie, Minnesota
Remote medical coder Apr 09, 2018 – Apr 10, 2018
HIPAA training, fraud and waste abuse training, code of conduct training, Optum Gemstone medical coding training.
Mesa Hills Specialty Hospital, El Paso, Texas
HIM Coder May 26, 2017 – Jan 19, 2018
Perform inpatient coding
Handle 32-bed service as a medical coder
Handle case management for DRG analysis
Handle medical records patients charge, progress notes and discharge summaries
Enter ICD-10-CM diagnosis coding and PCS procedure coding data into HCS
TXHIMA, Texas
CANPC Anesthesia coding webinar presenter May 01, 2017 – May 16, 2017
Prepared and presented a video-presented CANPC Anesthesia and pain management coding roundtable webinar for TXHIMA.
Signature Staff Resources, Miami Lakes, Florida
Remote medical coder and auditor Jan 05, 2016 – Apr 05, 2017
Medical coder refresh training and compliance training for Altegra Health
Emory Healthcare, Georgia
Health administration trainee May 15, 2016 – Jun 15, 2016
Produced Major Healthcare Processes Powerpoint slide.
NP Health Resources, Dallas, Texas
Remote medical coder and auditor Jan 05, 2016 – Apr 25, 2016
Medical coding training and medical compliance training in step 2 of the hiring process for NP Health Resources through Altegra Health. ICD-10-CM coding with HCC software
HGS USA, LLC, Peoria, Illinois
Remote medical coder Sep 22, 2015 – Feb 15, 2016
Medical coding of charts for inpatient and outpatient coding for four hospitals throughout USA, utlization of medical coding and medical records database software including Cerner, Dolby, Powerchart, and Encoder, worked for new client Florida Hospital
McKesson, Atlanta, Georgia
Unpaid E&M medical coding trainee Dec 01, 2015 – Jan 01, 2016
Performed medical coding including CPT, HCPCS II, and ICD-10-CM on 30 charts for E&M Round 1.
Cisco Systems, Georgia
Six sigma trainee Oct 01, 2015 – Nov 15, 2015
Produced Six sigma block chart slide.
Georgia State University, Atlanta, Georgia
Freelance medical researcher Oct 15, 2011 – Sep 22, 2015
Performed medical research on the preventive health benefits of phytochemicals which serve as antioxidants against the development of cancer and cardiovascular disease
Karolinska Institutet, STOCKHOLM, Sweden
Guest medical researcher Jun 05, 2008 – Jun 15, 2012
Prepared manuscripts on ultraviolet radiation cataract projects for the group of Dr. Per G. Soderberg, published paper on ultraviolet radiation cataract development for guinea pig maximum tolerable dose (MTD)
Sweden ships, Sweden
Ship riding participant Jan 02, 2003 – Jul 23, 2008
Ship riding in over fifty ships in the Scandanavian seas.
Karolinska Instututet, Stockholm, Sweden
Medical Researcher Oct 02, 2000 – Jun 05, 2008
Ophthalmology research
Ascorbate in the ocular lens (Licentiate thesis)
Ultraviolet radiation cataract development and ascorbate supplementation (Ph.D. thesis)
Developed method for lens ascorbate measurement utilizing homogenization in metaphosphoric acid, ultrafiltration, and HPLC with ultraviolet detection.
Published several papers.
Presented at ARVO, EVER, ISIR, and regional Swedish conferences.
Served as editor on three scientific journals.
National Board of Examiners in Optometry (NBEO), Stockholm, Stockholm, Sweden
Proctor Mar 05, 2003 – May 05, 2005
Proctored NBEO exam at a European site.
Brown University/Lifespan, Providence, Rhode Island
Preliminary Internal Medicine Intern Jun 23, 1998 – Dec 31, 1999
Clinical rounds, admitting patients, performing physical exam/history taking on patients, performing procedures on patients including blood draw and arterial blood gas, following up on laboratory results and test results, interacting with resident-in-charge and attendings, working in I.C.U./C.C.U., attending grand rounds, meeting faculty/program directors and chiefs. On COBRA.
Brown University/Lifespan, Rhode Island
Volunteer surgical researcher Sep 01, 1997 – May 17, 1998
Performed medical research on IL-4 induction of arginase activity in mouse peritoneal macrophages as a surgical wound healing model.
Yale-New Haven Hospital (Waterbury, CT), New Haven, Connecticut
Preliminary internal medicine intern Jun 22, 1997 – Aug 05, 1997
Performed inpatient rounds at Yale-New Haven Hospital and West Haven VA Medical Center. On leave of absence.
Emory University School of Medicine, Georgia
Ophthalmology researcher clinical and basic science Jun 01, 1996 – Apr 01, 1997
Performed medical human clinical and basic science research on the antioxidants glutathione, cysteine, and homocysteine in the population as related to age-related diseases as part of controls of the AREDS and ARMD eye studies. Performed phlebotomy on 100 subjects and followed a protocol. Performed chemical analyses and HPLC. Published ARVO abstract.
Emory University School of Medicine, Georgia
Basic science ophthalmology researcher Jun 01, 1994 – Aug 05, 1994
Studied ligand-binding properties of human interphotoreceptor retinoid binding protein, a protein involved in the visual cycle in the eye.
Vanderbilt University, Tennessee
Biochemistry honors researcher Aug 01, 1992 – May 01, 1993
Studied biochemical properties of the mitochondrial megachannel, a protein involved in cardiac reperfusion injury. Performed cellulose filtration utilizing bovine heart mitochondria.
Sero-Immuno Diagnostics, Atlanta, Georgia
Medical researcher on A.I.D.S. samples Jun 01, 1992 – Aug 15, 1992
Developed filter paper test kits for A.I.D.S. India HIV-2 samples. Experimented with artificial protein samples and developed filter paper A.I.D.S. test kits based on ELISA antibody color-and-intensity coded assays.
400 Hitter, Lilburn, Georgia
Corporation Vice President Aug 01, 1987 – Aug 01, 1992
Sold baseball cards ranging from years 1975-1991. 400 Hitter was advertised in baseball card magazines. Negotiated selling of baseball cards from our private collection and inventory.
Centers for Disease Control (CDC), Atlanta, Georgia
Medical researcher; inventory controller Jun 01, 1990 – Aug 15, 1991
Hired in inventory control. Worked on analysis of HIV DNA counts in patient and control samples utilizing Genprobe analysis. Performed batch results. PCR training.
Heidelberg International, Georgia
Biomedical engineering production line worker Jun 01, 1988 – Dec 01, 1988
Worked in biomedical engineering production line and quality assurance specialist, producing electronic pills for measuring pH of the stomach. The electronic pills are useful for gastroenterologist doctors.
Private tennis racket stringer, Wichita, Kansas
Tennis racket stringer Sep 01, 1983 – Sep 01, 1985
Strung rackets on purchased assembled machine from home. Successfully strung tennis rackets for the community. Bought two large coils of TOA Gold string for a string supply.
Education
Karolinska Institutet, Stockholm, Sweden
Doctoral Degree
Major: Ophthalmology
Emory University, Atlanta, Georgia
Doctoral Degree
Major: Doctor of Medicine
GPA: 3.71
Karolinska Institutet, Stockholm, Sweden
Masters Degree
Major: Clinical Science: Ophthalmology
McGraw-Hill Book Company Calculus with Analytic
Bachelors Degree
Vanderbilt University, Nashville, Tennessee
Bachelors Degree
Major: Molecular Biology
GPA: 3.95
U.S Career Institute, Fort Collins, Colorado
1 year college, technical or vocational school
Major: Medical coding specialist
GPA: 3.0
University of Georgia, Athens, Georgia
1 year college, technical or vocational school
Major: Medical coding and billing
Minor: Medical terminology, admin.
GPA: 4.0
soft schools.com
High School Diploma/GED
Major: Mathematics
Parkview High School, Lilburn, Georgia
High School Diploma/GED
GPA: 4.0
Norcross High School, Norcross, Georgia
9th Grade
GPA: 4.0
Training
Texas medical jurisprudence exam preparation May 01, 2018
Texas Medical Board
Currently studying Texas medical jurisprudence exam study guide 2016 from Texas Medical Association.
CPMA Certified Professional Medical Auditor Nov 05, 2015 – Dec 20, 2018
American Academy of Professional Coders
GPA 4.0
Earned certificate with 91% A average.
Professional Coding Practice course Apr 05, 2018 – May 02, 2018
AHIMA Academy
GPA 4.0
Completed Professional Coding Practice course covering ICD-10-CM, ICD-10-PCS, CPT, HCPCS II. Course requires passing final exam. Earned certificate in Professional Coding Practice with a 91.42% overall score for the course.
Educational hours Oct 20, 2013 – Apr 24, 2018
American Academy of Professional Coders
Educational hours from completing AAPC modules.
Basic ICD coding Part 1 Mar 01, 2018 – Apr 05, 2018
AHIMA Academy
GPA 4.0
Completed an ICD-10-CM training course covering all aspects of ICD-10-CM which requires passing of exams and final exam to pass course. Earned certificate in Basic ICD Coding, Part 1 for 45.000 CEUs with a 92% score for the course.
ICD-10-CM hematology and oncology specialty Nov 01, 2017 – Dec 29, 2017
American Academy of Professional Coders
Completed course in ICD-10-CM specialty hematology and oncology coding. Earned certificate in ICD-10-CM hematology and oncology code set training for 4.00 CEUs.
CICP course Sep 01, 2017 – Oct 15, 2017
4Med Plus
Passed intensive 50 modules course in ICD-10-CM coding requiring passing all quizzes, exams, and the final exam, which was also a certification exam. Passes course with an 86% score for 10.00 CEUs and earned ICD-10-CM Coding Professional certificate.
AHA Coding Clinic for ICD-10-CM and HCPCS Jul 05, 2016 – Jan 09, 2017
American Hospital Association
Medical coding of cases in ICD-10-CM and HCPCS from journals and key word terms.
ICD-10-CM advanced general code set training Sep 01, 2016 – Nov 05, 2016
American Academy of Professional Coders
Completed ICD-10-CM Instructional manual for advanced ICD-10-CM general code set training.
CPC Certification Study Guide 2016 Oct 01, 2016 – Nov 01, 2016
American Academy of Professional Coders
Competed CPC certification Study Guide 2016 from AAPC in ICD-10-CM, CPT, and HCPCS II coding. Completed 2014/2015 CANPC training, CANPC 2016 CCC training, 2017 CCVTC training (2016 and 2017 study guide and specialty exams), 2017 CEDC training.
ICD-10-CM cardiology specialty coding course Aug 01, 2016 – Sep 05, 2016
American Academy of Professional Coders
Completed ICD-10-CM specialty course in cardiology coding. Earned certificate in ICD-10-CM specialty cardiology code set training for 8.00 CEUs.
CPC-A ICD-10 Practicum Nov 15, 2015 – Jul 15, 2016
American Academy of Professional Coders
Performed ICD-10-CM, CPT, HCPCS II coding for 1.00 years of medical coding experience on 600 actual medical records as a practicum. The certificate earned is called Practicode Professional Fee (ICD-9-CM).
CPHRM exam preparation Feb 01, 2016 – Jun 20, 2016
ASHRM
General surgery and anesthesia coding Jan 04, 2016 – Feb 15, 2016
Greenville Technical Institute
GPA 3.00
Completed course in general surgery and anesthesia and pain management coding utilizing ICD-10-CM, CPT, HCPCS II, ASA Crosswalk, and Relative Value Guide. Earned certificate in general surgery and anesthesia coding with an overall 80% B average.
CPPM Certified physician practice manager Dec 21, 2015 – Jan 25, 2016
American Academy of Professional Coders
GPA 3.0
Earned certificate with 86% B average.
Cardiology coding course Dec 01, 2015 – Jan 05, 2016
Greenville Technical Institute
GPA 4.0
Completed continuing education course in cardiology coding. Earned certificate in cardiology coding with a 100% score for the course.
Health Data Analytics with Microsoft Excel Oct 15, 2015 – Dec 27, 2015
St. Scholastica
Earned MOOC certificate of attendance in Health Data Analytics for 10.00 AHIMA CEUs.
Coding Baseline ICD-10 Inpatient Diagnostic Nov 05, 2015 – Dec 04, 2015
Precyse University
Earned certificate of achievement in ICD-10-CM.
COC-A Practicum Jul 05, 2015 – Nov 05, 2015
American Academy of Professional Coders
Performed medical coding on 200 actual outpatient charts for 4 months of outpatient medical coding experience.
ICD-10-PCS code set training course Dec 01, 2014 – Jan 05, 2015
American Academy of Professional Coders
Completed ICD-10-PCS code set training covering all surgical procedures, procedures, and medical introductions in ICD-10-PCS.
Sales profile questionnaire trainee Oct 15, 2014 – Nov 07, 2014
CTS Sales Questionnaire trainee
Completed sales profile questionnaire which found my primary sales style to be a performer and secondary sales style to be a diplomat.
CPC-A Practicum Jun 01, 2014 – Nov 05, 2014
American Academy of Professional Coders
Performed medical coding in ICD-9-CM, CPT, and HCPCS II on 600 actual medical records as a practicum for 1.000 years of medical coding experience and 16 CEUs
ICD-10-CM general code set training Dec 05, 2013 – Jan 15, 2014
American Academy of Professional Coders
Completed ICD-10-CM general code set training in all ICD-10-CM medical coding fields. Earned certificate of ICD-10-CM proficiency.
Molecular biology and statistics Oct 02, 2000 – Jun 05, 2008
Karolinska Institutet
Participated in courses for Licentiate degree and Ph.D. degree in medical ophthalmology research for LADOK.
Occupational License or Certification
Cardiology ICD-10-CM certification exam 203 Certification
Optum360
Cardiology ICD-10-CM certification exam 204 Certification
Optum360
Cardiovascular and thoracic surgery coder CCVTC Certification
American Academy of Professional Coders, El Paso, Texas
Certificate of ICD-10-CM proficiency (4 Med CICP) Certification
4 Med Plus and Libman Education, Chicago, Illinois
Certified anesthesia and pain management coder Certification
American Academy of Professional Coders, El Paso, Texas
Certified billing and coding specialist (CBCS) Certification
National Healthcareer Association, Leawood, Kansas
Certified coding specialist-physician based badge Certification Expires: Mar 31, 2020
AHIMA, Philadelphia, Pennsylvania
Certified medical administrative assistant (CMAA) Certification
National Healthcareer Association, Leawood, Kansas
Certified national pharmaceutical representative Certification
NAPSRx, Washington, District Of Columbia
Certified outpatient coder (COC) Certification
American Academy of Professional Coders, Atlanta, Georgia
Certified professional coder (CPC) Certification
American Academy of Professional Coders, Atlanta, Georgia
Certified risk management consultant (CRMC) Certification
Harvard Risk Management Corporation, Dallas, Texas
Coding with Heart CPT for Cardiology Certification
Healthcare Business Office
General Surgery ICD-10-CM certification exam 207 Certification
Optum360
General Surgery ICD-10-CM certification exam 208 Certification
Optum360
Legalshield Certification
Harvard Risk Management Corporation, Dallas, Texas
Medical coding and billing, admin., +terminology Certification
University of Georgia, Georgia
One Call Health Access Certification
Harvard Risk Management Corporation, Dallas, Texas
Professional Coding Practice Certification Expires: Mar 31, 2020
AHIMA
Six sigma black belt Certification
Expert Rating
Six sigma green belt Certification
Expert Rating
For profit legal service contract salesperson License Expires: May 15, 2019
Texas Department of Licensing and Regulation, Austin, Texas
Computer Skills
Typing Speed: 30 Words Per Minute
• EMail Software (Outlook, Thunderbird, etc)
• Internet Browser (Internet Explorer, Firefox, etc)
• Peripheral Devices (Scanners, Printers, etc)
• Personal Computers
• Presentation Software (PowerPoint, Flash, etc)
• Word Processing Software (Word, WordPerfect, etc)
Language Skills
English – Excellent (Read Write Speak)
Hindi – Poor
Driver’s License
Class C – Standard Driver’s License
References
Per Soderberg
Professor of ophthalmology
Uppsala University School of Medicine
[email protected]
Kathleen Cahill
HIM Coder
Mesa Hills Specialty Hospital
(915) 545-1823
[email protected]
Tara Broadie
Manager
HGS USA, LLC
(609) 235-5714

Medical Billing and Coding Forum

116-bed Missouri hospital to close next month

Twin Rivers Regional Medical Center in Kennett, Missouri, a 116-bed hospital, will close June 30. It will stop providing Ob/Gyn services after May 17, and it will completely stop inpatient, emergency room and hospital-based outpatient services June 30. They are consolidating operations with Poplar Bluff Regional Medical Center.

Read the full story here!

The post 116-bed Missouri hospital to close next month appeared first on The Coding Network.

The Coding Network

99254 initial consultation and next day 49204 surgery with mod 80 denied

My provider was on call at a facility and looks like he saw a pt for initial consultation. The next day he assisted in surgery for this pt. Aetna denied the 99254 as global and the 49204 reason denial is N674-Not covered unless a pre-requisite procedure/service has been provided and also B15-This service/procedure requires that a qualifying service/procedure be received and covered. The qualifying other service/procedure has not been received/adjudicated. Looked in cpt book but doesn’t state anything should be done additional for this surgery. I am thinking its the pts policy and coverage but rep told me just to send medical records. Any idea what this pre requiste procedure/service could be?

Medical Billing and Coding Forum

Telephone/Internet Consultation and Inpatient Consultation Next day

I work for a specialty clinic whose physicians are on call with a local hospital for inpatient matters. Recently, a patient who was in a remote location was seen by a physician who requested a Telephone Consultation (99446). Our physician performed the Telephone/Internet consultation in accordance to CPT guidelines. The next day, the patient was flown in to the local hospital. The hospital physician requested our physician (same one) to do an Inpatient Consultation, which our physician performed. The pt. is not medicare/VA/military. The problem I am experiencing is that we’d like to bill for both services but, under the guidelines for the Telephone/Internet Consultations, it states "When the telephone/internet consultation leads to a immediate transfer of care OR OTHER face to face service (eg, a surgery, a hospital visit, or a scheduled office evaluation of the patient) within the next 14 days or next available appointment date of the consultant, these codes are not reported". Question is then, does the physician simply not bill for the telephone internet consultation and receive no reimbursement or is there something I’m missing? Thank you for your assistance.
Mike

Medical Billing and Coding Forum

Procedure admit with next day discharge

I have a patient who was admitted for a procedure with global (000). The E/M is generally included on day of procedure for global 000 but subsequent days can be billed. For this encounter I only billed the procedure. The patient was discharged the next day by the physician who did the procedure so I can bill for that physician since there is no global period. My question is can I use a discharge code since this was a discharge note even though I have no admit code to precede the discharge code?

Medical Billing and Coding Forum

MOON requirement delayed in IPPS final rule: What next?

MOON requirement delayed in IPPS final rule: What next?

Hospitals got a last-minute reprieve from the Medicare Outpatient Observation Notice (MOON) notification requirement, which was set to go into effect August 6. Citing the need for additional time to revise the standardized notification form that hospitals will need to use to notify patients about the financial implications of being assigned to observation services, CMS moved back the start date for the requirement in the 2017 IPPS final rule to ‘no later than 90 days,’ after the final version of the form is approved (www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/FY2017-IPPS-Final-Rule-Home-Page.html).

CMS released the new draft of the form (www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing-Items/CMS-10611.html?DLPage=1&DLEntries=10&DLFilter=10611&DLSort=1&DLSortDir=descending) August 1 and accepted public comments for 30 days. The MOON notification form is intended to be used to help hospitals comply with the Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act. The Act requires hospitals to provide a verbal and written notice of outpatient status to any patient in observation who has been in the hospital for more than 24 hours, stipulating that hospitals must inform patients within 36 hours from the start of the service about their status. However, without a final version of the form ready for use, it would appear that hospitals cannot comply with the NOTICE Act at this time.

‘Hospitals should review the IPPS final rule that contains significant clarification on things like when and how the notice is delivered and finalize their own policies for delivering the notice pending the final version of the MOON being available,’ says Kimberly Anderwood Hoy Baker, JD, CPC, director of Medicare and compliance for HCPro in Middleton, Massachusetts.

CMS stated in the 2017 IPPS final rule:

We expect the final [Paperwork Reduction Act] PRA approval of the MOON around the time the implementing regulations are effective. Therefore, the implementation period for hospitals and CAHs will begin sometime after the effective date of this final rule and will be announced on the CMS Beneficiary Notices Initiative Website at: www.cms.gov/Medicare/Medicare-General-information/Bni/index.html and in an HPMS memorandum to MA plans. During this implementation period, hospitals and CAHs will have time to prepare for implementation, consistent with past implementation practices for beneficiary notices. Hospitals and CAHs will be required to deliver the MOON to applicable patients who begin receiving observation services as outpatients on or after the notice implementation date.

 

‘Hospitals should watch the Beneficiary Notice Initiative page, where CMS said they would announce implementation information, for more information on the finalization of the MOON and implementation time frames,’ says Baker.

Hospitals will likely not be required to provide the MOON notification form to patients until 90 days after PRA approval, which could mean compliance with the MOON and NOTICE Act is at least 120 days out from the final rule release date given that there is also a 30-day comment period on the revised form, according to Baker.

‘When the final version of the notice form is ready for use, hospitals should use the 90-day implementation period to develop a mechanism for the form to be in their EHR with a trigger to print the notice when the patient is registered as or has a status change to observation. This will allow for the form to be delivered by the designated individual to the patient immediately rather than attempting to do it at discharge,’ says Rose T. Dunn, MBA, RHIA, CPA, FACHE, chief operating officer for First Class Solutions, Inc.

The message should be delivered by hospital staff who are well versed in the purpose of the notice and how patient status may financially impact the patient. Dunn recommends that hospitals choose patient access staff, financial counselors, or utilization review/case management staff to deliver the MOON rather than patient care staff.

The role of HIM in MOON compliance

While many facilities plan to task departments outside of HIM with delivering the verbal and written notice to observation patients, that does not mean there isn’t a seat at the table for HIM when it comes to operationalizing this regulation.

At Via Christi Health in Wichita, Kansas, Sam Antonios, MD, FACP, FHM, CCDS, medical director of medical information and ICD-10 physician advisor, and his colleagues are working to ensure they understand the nuances of the MOON.

Antonios’ facility is currently building a daily report to help track patients who have been in observation 24 hours.

The report will help the facility ensure compliance with the NOTICE Act and MOON, but this may be a challenge for facilities that do not have the capability to create such a document in their electronic systems. But even with the right systems and alerts in place, relying on just one report may present challenges. ‘For example, you may have patients who don’t have the right trigger from the initiation of observation services,’ Antonios says. Remember, the MOON must be delivered 24?36 hours after the initiation of observation services, which is not always the time when the patient entered the hospital, especially for those in the emergency department, he says.

In general, HIM should aid in the creation of reports listing any admission for Medicare beneficiaries in observation. Records for patients who have been in observation for more than 24 hours should be flagged when the report is run, which should ideally be done twice daily and be sent to the team tasked with delivering the MOON, Antonios says.

HIM must play a role in deciding what to do with the MOON when it is completed and how to track verbal notification of observation status, Antonios says. Should HIM scan the MOON forms immediately for inclusion in the patient’s medical record, or should scanning be completed at the end of the patient’s hospital stay? Deciding which option is best may depend on the needs of your facility and staffing patterns.

‘HIM professionals should ensure that the form is properly signed and scanned into the appropriate section of the medical record where it can be consistently found during an audit,’ says Edward Hu, MD, CHCQM-PHYADV, system executive director of physician advisor services at UNC Health Care system in Chapel Hill, North Carolina, and president of the American College of Physician Advisors. In addition, HIM will also play a role in ensuring the CMS-approved MOON is given to observation patients, Hu says.

In an era when hospitals are increasingly using electronic methods of documentation and communication, it may be tempting to create an electronic version of the MOON for patients to read and sign. However, Hu notes that if this practice is implemented the patient must still receive a paper copy of the form. ‘Hospitals must provide a signed paper copy of the MOON to the beneficiary, even if he or she reviews and signs on an electronic pad,’ he says. ‘The hospital must provide the MOON on paper for the beneficiary’s review if the beneficiary asks to review a paper version.’

Tracking and delivering the MOON is one hurdle to overcome, but so too is ensuring that patients understand the information presented to them. Language barriers can present a challenge when delivering the MOON. While it may be relatively easy to obtain a copy of the notice for patients who speak more common languages like Spanish, it is a bit more difficult at Antonios’ facility where patients speak a variety of languages that the form is not available in. In turn, staff may have a difficult time verbally notifying patients of observation status during off hours when a translator is unavailable, he says.

Hu notes that HIM can play a role in ensuring the Spanish-language version of the MOON is made available to patients and staff when it is approved by CMS. ‘Hospitals also have an obligation to provide the information on the MOON in a language and manner that the patient understands. Although this does not mean the MOON must be translated into every language, it does mean that the hospital has an obligation to ensure understanding by beneficiaries with limited English proficiency,’ he says.

 

The ups and downs of MOON

Complying with the NOTICE Act and operationalizing MOON has presented a significant challenge for healthcare organizations. Some are unsure of how to deliver the form and little is known about the impact it will have on patient relations and hospital staffing.

The verbal and written notice to observation patients should be given between 24 and 36 hours of the patient being placed in this status, which has many wondering whether they should actually wait 24 hours to deliver the notice since it can be challenging to ensure the notice is given before the 36-hour mark, says Antonios. ‘It leaves you with an open window of only 12 hours of actually being able to deliver before missing the deadline,’ Antonios says. Failure to deliver the notice within the given time frame can result in noncompliance.

While Antonios points out that CMS stated in the 2017 IPPS final rule that facilities can deliver the MOON prior to 24 hours of observation care, this may not always be the best option?especially since CMS noted that it discourages this practice. Delivering it before the 24-hour ma=rk as a proactive measure to ensure observation patients in need of the notice are not overlooked?or even delivering it on time?can present challenges since an observation stay can often become an inpatient stay based on a physician’s finding during the early hours of patient care, Antonios says.

Whether you decide to wait 24 hours or deliver the MOON as soon as observation status is initiated, there will be pros and cons.

Not waiting for the 24-hour mark may mean the verbal and written notice were given but not needed and could result in patients who are confused about their status and the financial implications of it. ‘It’s so early in the process that you may have people switched to inpatient before 24 hours and then you would have wasted the little bit of energy and resources to do a task that you didn’t need to do, because if you switch someone before 24 hours you don’t have to give them anything,’ Antonios says.

Delivering the MOON to all patients when they are first assigned to observation makes it easier to capture these Medicare beneficiaries before the 24?36-hour window passes, he says. It lends a fair amount of standardization and automation to the process of complying with the NOTICE Act and MOON, Antonios says.

However, ensuring that staff who are educated on completing the written notice and verbally explaining observation to patients are available at all times is not an easy task. While emergency departments (ED) are often well staffed during nights and weekends, other areas of hospitals may not have the same coverage, which could result in noncompliance if the MOON delivery window is missed. The ED?be it registration or other staff?may be the ideal setting for delivering the MOON if it is done routinely prior to the 24-hour mark. ‘Staffing on the floor goes down significantly after hours. It goes down significantly during the weekend, but the ED typically still has staff,’ Antonios says. ‘People receive paperwork in the ED anyway. It’s part of the process.’

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